NCLEX-RN Practice Quiz Test Bank #1 (75 Questions) – Updated 2025–2026 with Correct Answers & Rationales

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NCLEX-RN Practice Quiz Test Bank #1 (75 Questions)

NCLEXRN-01-001

Question Tag: hypertension

Question Category: Physiological Integrity, Reduction of Risk Potential

Which individual is at greatest risk for developing hypertension?

 A. 45-year-old African-American attorney

 B. 60-year-old Asian-American shop owner

 C. 40-year-old Caucasian nurse

 D. 55-year-old Hispanic teacher

Correct Answer: A: 45-year-old African American attorney

 Option A: African-Americans develop high blood pressure at younger ages than other

groups in the US. Researchers have uncovered that African-Americans respond

differently to hypertensive drugs than other groups of people. They are also found out to

be more sensitive to salt, which increases the risk of developing hypertension.

 Option B: The incidence of hypertension in Asian-Americans does not appear to be

significantly higher than the general population, according to limited US data.

 Option C: The racial disparity in hypertension and hypertension-related outcomes has

been recognized for decades with African-Americans with greater risks than Caucasians.

 Option D: Hypertension prevalence rates in Hispanics may vary by gender and country

of origin. Hispanic Americans overall have relatively low levels of hypertension, despite

elevated levels of diabetes and obesity.

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NCLEXRN-01-002

Question Tag: acetaminophen

Question Category: Physiological Integrity, Pharmacological and Parenteral Therapies

A 15-year-old female who ingested 15 tablets of maximum strength acetaminophen 45 minutes

ago is rushed to the emergency department. Which of these orders should the nurse do first?

 A. Gastric lavage

 B. Administer acetylcysteine (Mucomyst) orally

 C. Start an IV Dextrose 5% with 0.33% normal saline to keep the vein open

 D. Have the patient drink activated charcoal mixed with water

Correct Answer: A. Gastric lavage

 Option A: Acetaminophen overdose is extremely toxic to the liver causing

hepatotoxicity. Early symptoms of hepatic damage include nausea, vomiting, abdominal

pain, and diarrhea. If not treated immediately, hepatic necrosis occurs and may lead to

death. Removing as much of the drug as possible is the first step in treatment for

acetaminophen overdose, this is best done through gastric lavage. Gastric lavage

(irrigation) and aspiration consist of flushing the stomach with fluids and then aspirating

the fluid back out. This procedure is done in life-threatening cases such as acetaminophen

toxicity and only if less than one (1) hour has occurred after ingestion.

 Option B: The oral formulation of acetylcysteine is the drug of choice for the treatment

of acetaminophen overdose but should be done after GI decontamination with activated

charcoal. Liver damage is minimized by giving acetylcysteine (Mucomyst), the antidote

for acetaminophen. Acetylcysteine reduces injury by substituting for depleted glutathione

in the reaction that converts the toxic metabolite of acetaminophen to its nontoxic form.

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When given within 8 hours of acetaminophen toxicity, acetylcysteine is effective in

preventing severe liver injury. It is administered orally or intravenously.

 Option C: Intermittent IV infusion with Dextrose 5% may be considered for late-

presenting or chronic ingestion.

 Option D: Oral activated charcoal (AC) avidly adsorbs acetaminophen and may be

administered if the patient presents within 1 hour after ingesting a potentially toxic dose.

Charcoal should not be administered immediately before or with antidotes since it can

effectively adsorb it and neutralize the benefits.

NCLEXRN-01-003

Question Tag: cardiac catheterization

Question Category: Safe and Effective Care Environment, Management of Care

Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours

after the procedure?

 A. Angina at rest

 B. Thrombus formation

 C. Dizziness

 D. Falling blood pressure

Correct Answer: B. Thrombus formation

A thrombus formation may prevent blood from flowing normally through the circulatory system,

which may become an embolism, and block the flow of blood towards major organs in the body.

 Option A: The reported incidence of myocardial infarction with angina at rest is less than

0.1%, and is mostly influenced by patient-related factors like the extent and severity of

underlying cardiovascular-related diseases and technique-related factors.

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 Options C & D: A falling BP and dizziness occur along with hemorrhage of the insertion

site which is associated with the first 12 hours after the procedure.

NCLEXRN-01-004

Question Tag: renal calculi, flank pain

Question Category: Physiological Integrity, Basic Care and Comfort

A client is admitted to the emergency room with renal calculi and is complaining of moderate to

severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority

nursing goal for this client is:

 A. Maintain fluid and electrolyte balance

 B. Control nausea

 C. Manage pain

 D. Prevent urinary tract infection

Correct Answer: C. Manage pain

Managing pain is always a priority because it ultimately improves the quality of life. The

cornerstone of ureteral colic management is analgesia, which can be achieved most expediently

with parenteral narcotics or nonsteroidal anti-inflammatory drugs (NSAIDs).

 Option A: IV hydration in the setting of acute renal colic is controversial. Whereas some

authorities believe that IV fluids hasten the passage of the stone through the urogenital

system, others express concern that additional hydrostatic pressure exacerbates the pain

of renal colic.

 Option B: Because nausea and vomiting frequently accompany acute renal colic,

antiemetics often play a role in renal colic therapy. Several antiemetics have a sedating

effect that is often helpful.